
				<article id="post">
					<header class="entry-header">
						<h1 class="entry-titles"><?php echo $this -> translate('can_header_regis_candidate'); ?></h1>
					</header><!-- .entry-header -->
					
					<div class="entry-content linet">

							<script>$(".linet").css("border","2px solid #E6E7E8");</script>'
							<form id="formRegis" name="formRegis" action="/regis_result/" method="post" onsubmit="return validateForm()">
                            	<input type="hidden" name="role" value="can"/>
                              
                                            <table id="tb_Regis1 " class="login fixw" cellpadding="5px">
                                            <tr>
                                                 <td colspan="2">
																									
                                                   <h3 align="center"><?php echo $this -> translate('can_Reg_title'); ?></h3></td>
                                                </tr>
                                                <tr>
                                                 <td colspan="2">
                                                 	&nbsp;(<span class="mandatory">*</span>)&nbsp;<?php echo $this -> translate('required');?>
                                                  </td>
                                                </tr>
                                             <tr>
                                             
                                                 <td style="width:180px;">
                                                     <?php echo $this -> translate('can_Reg_email'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;:    	
                                                 </td>
                                                 <td>
                                                     <input type="text" id="email" name="email" value="" onChange="showUser(this.value)" /><div id="check" class='warning'></div>
                                                 </td>
                                                   
                                               </tr>
                                                <tr>
                                                    <td style="width:180px;">
                                                       <?php echo $this -> translate('can_Reg_conemail'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;:    	
                                                    </td>
                                                    <td>
																												 <input type="text" id="conemail" name="conemail"  />
                                                    </td>
                                                   
                                                </tr>
                                                <tr>
                                                    <td>
                                                        <?php echo $this -> translate('can_Reg_Pass'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;:
                                                    </td>
                                                    <td>
                                                        <input  type="password" id="password" name="password" value="" />  <br /><span class='guild'><?php echo $this -> translate('c_java_already1'); ?></span>
                                                    </td>
                                                 
                                                </tr>
                                                <tr>
                                                    <td>
                                                        <?php echo $this -> translate('can_Reg_rePass'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;:
                                                    </td>
                                                    <td>
                                                        <input  type="password" id="repassword" name="repassword" value="" />
                                                    </td>
                                                 
                                                </tr>
                                                
                                                 <tr>
                                                 <td colspan="2">
                                                   <h3 align="center"><?php echo $this -> translate('can_Reg_title2'); ?></h3></td>
                                                </tr>
                                                <tr>
                                                    <td>
                                                        <?php echo $this -> translate('can_Reg_fname'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;: 
                                                    </td>
                                                    <td>
                                                        <input type="text" id="fname" name="fname" class="text" value="" onkeypress="remove_class(fname);"/>
                                                    </td>
                                                
                                                </tr>
                                                <tr>
                                                    <td>
                                                        <?php echo $this -> translate('can_Reg_lname'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;: 
                                                    </td>
                                                    <td>
                                                        <input type="text" id="lname" name="lname" class="text" value="" />
                                                    </td>
                                                
                                                </tr>
                                                
                                                <tr>
                                                    <td>
                                                        <?php echo $this -> translate('can_Reg_gender'); ?>: 
                                                    </td>
                                                    <td>
                                                    <!--
                                                        <input type="text" name="gender" class="text" value="" />
                                                        -->
                                                        <input type="radio" name="gender" id="gender" value="Male" checked="checked" /><?php echo $this -> translate('can_Reg_chkgen1');?>  
                                                        <input type="radio" name="gender" id="gender" value="Female" /> <?php echo $this -> translate('can_Reg_chkgen2'); ?> 
                                                        </td>
                                                  
                                                </tr>
                                                 <tr>
                                                        <td>
                                                             <?php echo $this -> translate('can_Reg_birthday'); ?>: 
                                                        </td>
                                                        <td>
                                                        
                                                         <select name="day1">
                                                         
                                                         	<option value="1">1</option>
                                                            <option value="2">2</option>
                                                            <option value="3">3</option>
                                                            <option value="4">4</option>
                                                            <option value="5">5</option>
                                                            <option value="6">6</option>
                                                            <option value="7">7</option>
                                                            <option value="8">8</option>
                                                            <option value="9">9</option>
                                                            <option value="10">10</option>
                                                            <option value="11">11</option>
                                                            <option value="12">12</option>
                                                            <option value="13">13</option>
                                                            <option value="14">14</option>
                                                            <option value="15">15</option>
                                                            <option value="16">16</option>
                                                            <option value="17">17</option>
                                                            <option value="18">18</option>
                                                            <option value="19">19</option>
                                                            <option value="20">20</option>
                                                            <option value="21">21</option>
                                                            <option value="22">22</option>
                                                            <option value="23">23</option>
                                                            <option value="24">24</option>
                                                            <option value="25">25</option>
                                                            <option value="26">26</option>
                                                            <option value="27">27</option>
                                                            <option value="28">28</option>
                                                            <option value="29">29</option>
                                                            <option value="30">30</option>
                                                            <option value="31">31</option>
                                                             
                                                         </select>
                                                         
                                                          <select name="month1" >
                                                         
                                                         	<option value="1">1</option>
                                                            <option value="2">2</option>
                                                            <option value="3">3</option>
                                                            <option value="4">4</option>
                                                            <option value="5">5</option>
                                                            <option value="6">6</option>
                                                            <option value="7">7</option>
                                                            <option value="8">8</option>
                                                            <option value="9">9</option>
                                                            <option value="10">10</option>
                                                            <option value="11">11</option>
                                                            <option value="12">12</option>
                                                            
                                                         </select>
                                                         
                                                          <select name="year1">
                                                         
                                                         	<option value="2012">2012</option>
                                                            <option value="2011">2011</option>
                                                            <option value="2010">2010</option>
                                                            <option value="2009">2009</option>
                                                            <option value="2008">2008</option>
                                                            <option value="2007">2007</option>
                                                            <option value="2006">2006</option>
                                                            <option value="2005">2005</option>
                                                            <option value="2004">2004</option>
                                                            <option value="2003">2003</option>
                                                            <option value="2002">2002</option>
                                                            <option value="2001">2001</option>
                                                            <option value="2000">2000</option>
                                                            <option value="1999">1999</option>
                                                            <option value="1998">1998</option>
                                                            <option value="1997">1997</option>
                                                            <option value="1996">1996</option>
                                                            <option value="1995">1995</option>
                                                            <option value="1994">1994</option>
                                                            <option value="1993">1993</option>
                                                            <option value="1992">1992</option>
                                                            <option value="1991">1991</option>
                                                            <option value="1990">1990</option>
                                                            <option value="1989">1989</option>
                                                            <option value="1988">1988</option>
                                                            <option value="1987">1987</option>
                                                            <option value="1986">1986</option>
                                                            <option value="1985">1985</option>
                                                            <option value="1984">1984</option>
                                                            <option value="1983">1983</option>
                                                            <option value="1982">1982</option>
                                                            <option value="1981">1981</option>
                                                            <option value="1980" selected="selected">1980</option>
                                                            <option value="1979">1979</option>
                                                            <option value="1978">1978</option>
                                                            <option value="1977">1977</option>
                                                            <option value="1976">1976</option>
                                                            <option value="1975">1975</option>
                                                            <option value="1974">1974</option>
                                                            <option value="1973">1973</option>
                                                            <option value="1972">1972</option>
                                                            <option value="1971">1971</option>
                                                            <option value="1970">1970</option>
                                                            <option value="1969">1969</option>
                                                            <option value="1968">1968</option>
                                                            <option value="1967">1967</option>
                                                            <option value="1966">1966</option>
                                                            <option value="1965">1965</option>
                                                            <option value="1964">1964</option>
                                                            <option value="1963">1963</option>
                                                            <option value="1962">1962</option>
                                                            <option value="1961">1961</option>
                                                            <option value="1960">1960</option>
                                                            <option value="1959">1959</option>
                                                            <option value="1958">1958</option>
                                                            <option value="1957">1957</option>
                                                            <option value="1956">1956</option>
                                                            <option value="1955">1955</option>
                                                            <option value="1954">1954</option>
                                                            <option value="1953">1953</option>
                                                            <option value="1952">1952</option>
                                                            <option value="1951">1951</option>
                                                            <option value="1950">1950</option>
                                                            <option value="1949">1949</option>
                                                            <option value="1948">1948</option>
                                                            <option value="1947">1947</option>
                                                            <option value="1946">1946</option>
                                                            <option value="1945">1945</option>
                                                            <option value="1944">1944</option>
                                                            <option value="1943">1943</option>
                                                            <option value="1942">1942</option>
                                                            <option value="1941">1941</option>
                                                            <option value="1940">1940</option>
                                                            <option value="1939">1939</option>
                                                            <option value="1938">1938</option>
                                                            <option value="1937">1937</option>
                                                            <option value="1936">1936</option>
                                                            <option value="1935">1935</option>
                                                            <option value="1934">1934</option>
                                                            <option value="1933">1933</option>
                                                            <option value="1932">1932</option>
                                                            <option value="1931">1931</option>
                                                            <option value="1930">1930</option>
                                                            <option value="1929">1929</option>
                                                            <option value="1928">1928</option>
                                                            <option value="1927">1927</option>
                                                            <option value="1926">1926</option>
                                                            <option value="1925">1925</option>
                                                            <option value="1924">1924</option>
                                                            <option value="1923">1923</option>
                                                            <option value="1922">1922</option>
                                                            <option value="1921">1921</option>
                                                            <option value="1920">1920</option>
                                                            <option value="1919">1919</option>
                                                            <option value="1918">1918</option>
                                                            <option value="1917">1917</option>
                                                            <option value="1916">1916</option>
                                                            <option value="1915">1915</option>
                                                            <option value="1914">1914</option>
                                                            <option value="1913">1913</option>
                                                            <option value="1912">1912</option>
                                                            <option value="1911">1911</option>
                                                            <option value="1910">1910</option>
                                                            <option value="1909">1909</option>
                                                            <option value="1908">1908</option>
                                                            <option value="1907">1907</option>
                                                            <option value="1906">1906</option>
                                                            <option value="1905">1905</option>
                                                             
                                                         </select>
                                                           
                                                         
                                                        </td>
                                                      
                                                  </tr>
                                                  <tr>
                                                    <td>
                                                         <?php echo $this -> translate('can_Reg_martial'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;: 
                                                    </td>
                                                    <td>
                                                       <input type="radio" name="martial" checked="checked"  value="Single " >
                                                        <?php echo $this -> translate('can_Reg_chkmar1'); ?> 
                                                        <input type="radio" name="martial"   value="Married" >
                                                        <?php echo $this -> translate('can_Reg_chkmar2'); ?>
                                                        
                                                    </td>
                                                
                                                </tr>
                                                <tr>
                                                    <td>
                                                         <?php echo $this -> translate('can_Reg_nation'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;: 
                                                    </td>
                                                    <td>
                                                        <input type="radio" checked="checked" name="nation" class="text" value="local" /><?php echo $this -> translate('can_Reg_nation_1'); ?> 
                                                         <input type="radio" name="nation" class="text" value="other" /><?php echo $this -> translate('can_Reg_nation_2'); ?>
                                                        
                                                        
                                                    </td>
                                                
                                                </tr>  
                                                
                                                <tr>
                                                    <td>
                                                         <?php echo $this -> translate('can_Reg_residence'); ?>&nbsp;(<span class="mandatory">*</span>)&nbsp;: 
                                                    </td>
                                                    <td>
                                                        <select  class="span-5plus" id="cbxProvince" name="cbxProvince" style="width: 250px;">
                                                                       <option selected="" value="0"><?php echo $this -> translate('can_Reg_resitext'); ?></option>
                                                                      	<option>Ho Chi Minh</option>
                                                                        <option >Ha Noi</option>
                                                                        <option >Mekong Delta</option>
                                                                        <option >An Giang</option>
                                                                        <option >Ba Ria</option>
                                                                        <option >Bac Can</option>
                                                                        <option >Bac Giang</option>
                                                                        <option >Bac Lieu</option>
                                                                        <option >Bac Ninh</option>
                                                                        <option >Ben Tre</option>
                                                                        <option >Bien Hoa</option>
                                                                        <option >Binh Dinh</option>
                                                                        <option >Binh Duong</option>
                                                                        <option >Binh Phuoc</option>
                                                                        <option >Binh Thuan</option>
                                                                        <option >Ca Mau</option>
                                                                        <option >Can Tho</option>
                                                                        <option >Cao Bang</option>
                                                                        <option >Da Nang</option>
                                                                        <option >Dac Lac</option>
                                                                        <option >Dien Bien</option>
                                                                        <option >Dong Nai</option>
                                                                        <option >Dong Thap</option>
                                                                        <option >Gia Lai</option>
                                                                        <option >Ha Giang</option>
                                                                        <option >Ha Nam</option>
                                                                        <option >Ha Tay</option>
                                                                        <option >Ha Tinh</option>
                                                                        <option >Hai Duong</option>
                                                                        <option >Hai Phong</option>
                                                                        <option >Hoa Binh</option>
                                                                        <option >Hue</option>
                                                                        <option >Hung Yen</option>
                                                                        <option >Khanh Hoa</option>
                                                                        <option >Kon Tum</option>
                                                                        <option >Lai Chau</option>
                                                                        <option >Lam Dong</option>
                                                                        <option >Lang Son</option>
                                                                        <option >Lao Cai</option>
                                                                        <option >Long An</option>
                                                                        <option >Nam Dinh</option>
                                                                        <option >Nghe An</option>
                                                                        <option >Ninh Binh</option>
                                                                        <option >Ninh Thuan</option>
                                                                        <option >Phu Tho</option>
                                                                        <option >Phu Yen</option>
                                                                        <option >Quang Binh</option>
                                                                        <option >Quang Nam</option>
                                                                        <option >Quang Ngai</option>
                                                                        <option >Quang Ninh</option>
                                                                        <option >Quang Tri</option>
                                                                        <option >Soc Trang</option>
                                                                        <option >Son La</option>
                                                                        <option >Tay Ninh</option>
                                                                        <option >Thai Binh</option>
                                                                        <option >Thai Nguyen</option>
                                                                        <option >Thanh Hoa</option>
                                                                        <option >Thua Thien-Hue</option>
                                                                        <option >Tien Giang</option>
                                                                        <option >Tra Vinh</option>
                                                                        <option >Tuyen Quang</option>
                                                                        <option >Kien Giang</option>
                                                                        <option >Vinh Long</option>
                                                                        <option >Vinh Phuc</option>
                                                                        <option >Vung Tau</option>
                                                                        <option >Yen Bai</option>
                                                                        <option >Other</option>
                                                                        <option >International</option>
                                                                        <option >Hau Giang</option>
                                                        </select>
                                                    </td>
                                                
                                                </tr>
                                                
                                               
                                                 <td colspan="2" align="center">
                                                 <input type="checkbox" checked="checked" name="newsletter" value="yes" /> <?php echo $this -> translate('can_Reg_newsletter'); ?><br />
                                               	   <input type="checkbox" name="check1" value="1" /> <?php echo $this -> translate('can_Reg_check'); ?><br />	
                                                   
                                                   </td>
                                                   
                                                </tr>
                                               
                                                <tr>
                                                    <td>
                                                        
                                                    </td>
                                                    <td>
                                                        <input class="button-css green" type="submit" name="submit" value="  <?php echo $this -> translate('can_Reg_submit'); ?>" id="btnSubmit"/>
                                                    	<input type="hidden" id='validemail'  value="" />
                                                    </td>
                                                
                                                </tr>                                
                                            </table>
                                
                            </form>

					</div><!-- .entry-content -->
				</article>